Provider Demographics
NPI:1992042881
Name:DENTAL ATTRACTION CENTER PA
Entity Type:Organization
Organization Name:DENTAL ATTRACTION CENTER PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:REINA
Authorized Official - Middle Name:
Authorized Official - Last Name:LARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-733-0999
Mailing Address - Street 1:4727 FRANKFORD RD
Mailing Address - Street 2:STE 333
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75287-7132
Mailing Address - Country:US
Mailing Address - Phone:972-733-0999
Mailing Address - Fax:972-733-3878
Practice Address - Street 1:4727 FRANKFORD RD
Practice Address - Street 2:STE 333
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75287-7132
Practice Address - Country:US
Practice Address - Phone:972-733-0999
Practice Address - Fax:972-733-3878
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-11
Last Update Date:2013-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty